Provider Demographics
NPI:1891393740
Name:WARE-JONES, CHRISTIE LATONYA (LPN)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:LATONYA
Last Name:WARE-JONES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 HARRIS ST
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-9102
Mailing Address - Country:US
Mailing Address - Phone:307-202-3823
Mailing Address - Fax:
Practice Address - Street 1:715 HARRIS ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-9102
Practice Address - Country:US
Practice Address - Phone:307-202-3823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR120104164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse